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CN2801088Y - Operation suture fixer - Google Patents

Operation suture fixer Download PDF

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Publication number
CN2801088Y
CN2801088Y CNU2005200965133U CN200520096513U CN2801088Y CN 2801088 Y CN2801088 Y CN 2801088Y CN U2005200965133 U CNU2005200965133 U CN U2005200965133U CN 200520096513 U CN200520096513 U CN 200520096513U CN 2801088 Y CN2801088 Y CN 2801088Y
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arc
shaped
bottom plate
base plate
surgical
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CNU2005200965133U
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Chinese (zh)
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夏述燕
赵体玉
万静雯
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Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology
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Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology
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Priority to CNU2005200965133U priority Critical patent/CN2801088Y/en
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Abstract

本实用新型公开了一种手术缝线固定器,它具有一块弧形底板,所述弧形底板的两端设有底板定位孔,用以将弧形底板固定在手术敷料上。所述弧形底板的上面设有一条与其长度对应的弧形凹槽,所述弧形凹槽内固定有一根上半部分裸露在外面的弹性硅胶条,所述弹性硅胶条的上面间隔开有若干Y型缝隙,用以将手术缝线嵌置在Y型缝隙中。进一步地,所述弧形底板的上面设有与所述Y型缝隙位置对应的刻度标志,用以向手术者准确指示Y型缝隙的位置。该固定器既能有效地避免对组织、血管或缝线的损伤、又可方便地对缝线进行固定、分辨、打结和清点。

The utility model discloses an operation suture fixer, which has an arc-shaped base plate, and base plate positioning holes are arranged at both ends of the arc-shaped base plate, and are used for fixing the arc-shaped base plate on the surgical dressing. An arc-shaped groove corresponding to its length is arranged above the arc-shaped bottom plate, and an elastic silicone strip whose upper half is exposed outside is fixed in the arc-shaped groove. There are several intervals on the elastic silica gel strip. Y-shaped slit for embedding surgical sutures in the Y-shaped slit. Further, a scale mark corresponding to the position of the Y-shaped slit is provided on the upper surface of the arc-shaped bottom plate, so as to accurately indicate the position of the Y-shaped slit to the operator. The fixer can effectively avoid damage to tissues, blood vessels or sutures, and can conveniently fix, distinguish, knot and count the sutures.

Description

手术缝线固定器Surgical Suture Holder

                   技术领域Technical field

本实用新型涉及临床上用于手术切口缝合的辅助医疗器械,具体地指一种手术缝线固定器。The utility model relates to an auxiliary medical device clinically used for surgical incision suturing, in particular to a surgical suture fixer.

                   背景技术 Background technique

在心胸外科进行体外循环手术时,往往会遇到手术缝线较多的情况,不仅容易阻碍手术者的视野,也给洗手护士管理缝线带来一定的困难。现有的手术缝线固定方法是通过皮管钳或蚊式血管钳夹住缝线末端,以固定手术缝线。但这种管理缝线的方法存在如下几种缺陷:其一,采用血管钳夹缝线,或多或少会对缝线造成一定程度的损害;其二,采用皮管钳夹缝线,会因皮管钳本身的重量而形成一定程度的牵拉,造成不必要的组织或血管损伤;其三,当手术缝线较多时,不利于成对缝线的分辨和打结。目前也尚未见有专门的手术缝线固定器械的文献报道。During extracorporeal circulation surgery in cardiothoracic surgery, many surgical sutures are often encountered, which not only easily hinders the operator's vision, but also brings certain difficulties to the hand-washing nurses in managing the sutures. The existing method for fixing surgical sutures is to clamp the ends of the sutures by leather tube clamps or mosquito-type vascular clamps to fix the surgical sutures. However, there are several defects in this method of managing sutures: one, the use of blood vessel clamps to clamp the sutures will more or less cause damage to the sutures to a certain extent; The weight of the pipe clamp itself causes a certain degree of pulling, causing unnecessary tissue or blood vessel damage; third, when there are many surgical sutures, it is not conducive to the identification and knotting of paired sutures. There is also no literature report on a special surgical suture fixation device at present.

                    发明内容Contents of the invention

本实用新型的目的就是要解决上述现有技术中所存在的不足,提供一种既能有效地避免对组织、血管或缝线的损伤、又可方便地对缝线进行固定、分辨、打结和清点的手术缝线固定器。The purpose of this utility model is to solve the above-mentioned deficiencies in the prior art, to provide a method that can effectively avoid damage to tissues, blood vessels or sutures, and can conveniently fix, distinguish and tie the sutures. and inventory of surgical suture retainers.

为实现上述目的,本实用新型在无数次临床手术实践中,结合手术缝线操作特点设计而成的手术缝线固定器,具有一块弧形底板,所述弧形底板的两端设有底板定位孔,用以将弧形底板固定在手术敷料上。所述弧形底板的上面设有一条与其长度对应的弧形凹槽,所述弧形凹槽内固定有一根上半部分裸露在外面的弹性硅胶条,所述弹性硅胶条的上面间隔开有若干Y型缝隙,用以将手术缝线嵌置在Y型缝隙中。进一步地,所述弧形底板的上面设有与所述Y型缝隙位置对应的刻度标志,用以向手术者准确指示Y型缝隙的位置。In order to achieve the above purpose, the utility model is a surgical suture fixer designed in combination with the operation characteristics of surgical sutures in countless clinical operations. Holes for securing the curved bottom plate to the surgical dressing. An arc-shaped groove corresponding to its length is arranged on the top of the arc-shaped bottom plate, and an elastic silicone strip whose upper half is exposed outside is fixed in the arc-shaped groove. Y-shaped slit for embedding surgical sutures in the Y-shaped slit. Further, a scale mark corresponding to the position of the Y-shaped slit is provided on the upper surface of the arc-shaped bottom plate, so as to accurately indicate the position of the Y-shaped slit to the operator.

本实用新型的优点在于:所设计的弧形底板结构轻巧且使用时固定在手术敷料上,可有效减少对患者组织、血管的牵拉,也可节省医护操作人员的人力。所设计的弹性硅胶条上的Y型缝隙,既方便医生迅速准确地找到其Y型开口,又能将手术缝线牢牢固定于其Y型直缝中。并且,所设计的弹性硅胶条相对于创口缝合处呈弧形布置,其弧形向心结构有利于手术者将每对缝线有序排列在Y型缝隙中,不易错乱混淆,方便成对缝线打结。同时,计算缝线针数目时无需一根一根取下清点,只需将固定器本身连同剪断的手术缝线一起取下清点数目即可。经临床实践证明,本固定器尤其适用于体外循环手术,如主动脉瓣置换术等,能替代传统的皮管钳夹线固定方法,具有较高的实用价值。The utility model has the advantages that the designed arc-shaped bottom plate has a light structure and is fixed on the surgical dressing during use, which can effectively reduce the pulling of the patient's tissue and blood vessels, and can also save the manpower of medical operators. The designed Y-shaped slit on the elastic silicone strip not only facilitates the doctor to quickly and accurately find the Y-shaped opening, but also securely fixes the surgical suture in the Y-shaped straight slit. Moreover, the designed elastic silicone strip is arranged in an arc relative to the wound suture, and its arc-shaped centripetal structure is conducive to the operator to arrange each pair of sutures in the Y-shaped gap in an orderly manner, which is not easy to confuse, and is convenient for paired sutures. The thread is knotted. At the same time, when calculating the number of suture needles, it is not necessary to take off one by one and count them, and only need to take off the fixer itself together with the cut surgical sutures and count the number. It has been proved by clinical practice that this fixer is especially suitable for extracorporeal circulation operations, such as aortic valve replacement, etc., and can replace the traditional leather tube clamp clamping wire fixing method, and has high practical value.

                    附图说明Description of drawings

图1为一种手术缝线固定器的主视结构示意图;Fig. 1 is a front view structural schematic diagram of a surgical suture fixer;

图2为图1的仰视结构示意图;Fig. 2 is a schematic diagram of the bottom view of Fig. 1;

图3为图1的A-A剖视结构示意图。FIG. 3 is a schematic diagram of the cross-sectional structure along line A-A of FIG. 1 .

                  具体实施方式 Detailed ways

以下结合附图和具体实施例对本实用新型作进一步的详细描述:Below in conjunction with accompanying drawing and specific embodiment the utility model is described in further detail:

图中所示的手术缝线固定器,具有一块弧形底板3,弧形底板3采用PVC材料制作而成,这种轻质PVC材料,具有表面光滑、重量轻、防水防潮、易清洗等特点,且能放入低温灭菌锅内灭菌备用。弧形底板3的弦长22cm、板厚0.9cm,其所对应的圆心角为一般为100~140°,以方便固定来自不同方向的手术缝线。弧形底板3所对应的圆心角最好为120°,这样一台手术可使用三个固定器,三个固定器连接起来正好构成一个圆环,非常适合于主动脉瓣置换时分三个向限缝合主动脉瓣环的手术应用。The surgical suture fixer shown in the figure has a curved bottom plate 3, which is made of PVC material. This light PVC material has the characteristics of smooth surface, light weight, waterproof and moisture-proof, and easy to clean. , and can be sterilized in a low-temperature sterilizer for use. The chord length of the arc-shaped bottom plate 3 is 22 cm, the plate thickness is 0.9 cm, and the corresponding central angle thereof is generally 100-140°, so as to facilitate fixing surgical sutures from different directions. The central angle corresponding to the arc-shaped bottom plate 3 is preferably 120°. In this way, three fixators can be used in one operation. The three fixators are connected to form a ring, which is very suitable for aortic valve replacement in three directions. Surgical application of suturing the aortic annulus.

弧形底板3的上面设有一条与其长度对应的弧形凹槽7,弧形凹槽7的横截面呈V型。弧形凹槽7内嵌装有一根上半部分裸露在外面的弹性硅胶条4,弹性硅胶条4的横截面呈圆型,其直径为1cm。圆型截面的弹性硅胶条4嵌置在V型截面的弧形凹槽7中,非常易于定位。在弹性硅胶条4的两端设有固定卡圈2,固定卡圈2采用市售的“易拉得”塑料卡圈,将其套装在弧形底板3和弹性硅胶条4上,收缩锁紧即可使两者的位置固定。固定卡圈2也可以随时拆卸下来,以方便各部件清洗消毒。当然也可以采用其他的方法固定弧形底板3和弹性硅胶条4。An arc-shaped groove 7 corresponding to its length is provided on the upper surface of the arc-shaped bottom plate 3 , and the cross-section of the arc-shaped groove 7 is V-shaped. The arc-shaped groove 7 is embedded with an elastic silicone strip 4 whose upper part is exposed outside. The cross section of the elastic silicone strip 4 is circular and its diameter is 1 cm. The elastic silicone strip 4 with a circular section is embedded in the arc-shaped groove 7 with a V-shaped section, which is very easy to locate. The two ends of the elastic silicone strip 4 are provided with a fixed collar 2, and the fixed collar 2 adopts a commercially available "easy-to-pull" plastic collar, which is set on the arc-shaped bottom plate 3 and the elastic silicone strip 4, and shrinks and locks. The positions of the two can be fixed. The fixed collar 2 can also be disassembled at any time to facilitate the cleaning and disinfection of each part. Of course, other methods can also be used to fix the arc-shaped bottom plate 3 and the elastic silicone strip 4 .

弹性硅胶条4的上面每间隔1cm开有一Y型缝隙5,对应地在弧形底板3的上面刻有指示Y型缝隙5位置的黑色刻度标志6,以方便医生直观、准确、迅速地找到所需要嵌入的Y型缝隙5的位置,并将手术缝线牢牢嵌置于其内。弧形底板3的两端设有底板定位孔1,底板定位孔1采用常规的圆形孔,用小型布巾钳穿过圆形底板定位孔1,夹住手术敷料如腹被或胸被等布类,即可将弧形底板3固定住。为了进一步确保弧形底板3的稳定,还可以在弧形底板3的底面设置与手术敷料相粘接配合的粘胶层,这样即使不用布巾钳也能保证弧形底板3牢靠地固定在手术敷料上,有效防止其移动牵拉所造成的患者组织和血管损害。There is a Y-shaped gap 5 every 1 cm on the top of the elastic silicone strip 4, and a black scale mark 6 indicating the position of the Y-shaped gap 5 is correspondingly engraved on the top of the arc-shaped bottom plate 3, so that the doctor can find the desired location intuitively, accurately and quickly. The position of the Y-shaped slit 5 that needs to be embedded, and the surgical sutures are firmly embedded in it. The two ends of the arc-shaped base plate 3 are provided with base plate positioning holes 1, and the base plate positioning holes 1 adopt conventional circular holes. Use small cloth towel pliers to pass through the circular base plate positioning holes 1, and clamp surgical dressings such as abdominal quilts or chest quilts. class, the arc base plate 3 can be fixed. In order to further ensure the stability of the arc-shaped base plate 3, an adhesive layer that is bonded and matched with the surgical dressing can also be set on the bottom surface of the arc-shaped base plate 3, so that the arc-shaped base plate 3 can be firmly fixed on the surgical dressing even without cloth towel pliers. It can effectively prevent the patient's tissue and blood vessel damage caused by its moving and pulling.

本手术缝线固定器的使用方法如下:将其清洗干净,待干燥后进行密封包装,放入STERRAD 100S过氧化氢等离子低温灭菌锅(美国强生公司生产)内灭菌备用。手术中使用时,只需在其圆形底板定位孔1处用小型布巾钳夹住敷料,即可将本手术缝线固定器定位。固定手术缝线时,只需将缝线末端放置于弹性硅胶条4的Y型缝隙内即可。The operation method of this surgical suture fixer is as follows: clean it, seal it after drying, put it into a STERRAD 100S hydrogen peroxide plasma low-temperature sterilization pot (manufactured by Johnson & Johnson, USA) and sterilize it for later use. When used in an operation, the surgical suture fixer can be positioned by clamping the dressing with a small cloth towel clamp at the positioning hole 1 of the circular bottom plate. When fixing the surgical suture, it is only necessary to place the end of the suture in the Y-shaped gap of the elastic silicone strip 4.

实验表明:将2-0、3-0、4-0等各种型号的SURGIPRO血管缝线或2-0 TICRON换瓣线反复固定在本手术缝线固定器上,均能将缝线牢牢夹住,且对缝线的外观及张力均无损伤。临床应用于体外循环手术30例,均收到了良好的效果。Experiments have shown that when various types of SURGIPRO vascular sutures such as 2-0, 3-0, and 4-0 or 2-0 TICRON valve replacement sutures are repeatedly fixed on the surgical suture fixer, the sutures can be firmly fixed. Clamp without damaging the appearance and tension of the suture. It has been clinically used in 30 cases of cardiopulmonary bypass surgery, all of which have received good results.

Claims (8)

1.一种手术缝线固定器,其特征在于:它具有一块弧形底板(3),所述弧形底板(3)的上面设有一条与其长度对应的弧形凹槽(7),所述弧形凹槽(7)内固定有一根上半部分裸露在外面的弹性硅胶条(4),所述弹性硅胶条(4)的上面间隔开有若干Y型缝隙(5),所述弧形底板(3)的两端设有底板定位孔(1)。1. A surgical suture fixer is characterized in that: it has an arc base plate (3), and an arc groove (7) corresponding to its length is provided above the arc base plate (3), so An elastic silicone strip (4) with the upper part exposed outside is fixed in the arc-shaped groove (7), and several Y-shaped slits (5) are spaced above the elastic silicone strip (4). Both ends of the base plate (3) are provided with base plate positioning holes (1). 2.根据权利要求1所述的手术缝线固定器,其特征在于:所说的弧形底板(3)的上面设有与所说的Y型缝隙(5)位置对应的刻度标志(6)。2. The surgical suture holder according to claim 1, characterized in that: said arc-shaped bottom plate (3) is provided with a scale mark (6) corresponding to the position of said Y-shaped slit (5) . 3.根据权利要求1或2所述的手术缝线固定器,其特征在于:所说的弧形凹槽(7)的横截面呈V型,所说的弹性硅胶条(4)的横截面呈圆型,所说的弹性硅胶条(4)与弧形底板(3)之间通过固定卡圈(2)锁紧。3. The surgical suture fixer according to claim 1 or 2, characterized in that: the cross-section of the arc-shaped groove (7) is V-shaped, and the cross-section of the elastic silicone strip (4) It is circular, and the elastic silicone strip (4) is locked with the arc-shaped bottom plate (3) by a fixing collar (2). 4.根据权利要求1或2所述的手术缝线固定器,其特征在于:所说的弧形底板(3)的底面设有可与手术敷料相粘接配合的粘胶层。4. The surgical suture holder according to claim 1 or 2, characterized in that: the bottom surface of the arc-shaped bottom plate (3) is provided with an adhesive layer that can be bonded and matched with surgical dressings. 5.根据权利要求3所述的手术缝线固定器,其特征在于:所说的弧形底板(3)的底面设有可与手术敷料相粘接配合的粘胶层。5. The surgical suture holder according to claim 3, characterized in that: the bottom surface of the arc-shaped bottom plate (3) is provided with an adhesive layer that can be bonded and matched with surgical dressings. 6.根据权利要求1或2所述的手术缝线固定器,其特征在于:所说的弧形底板(3)所对应的圆心角为100~140°。6. The surgical suture holder according to claim 1 or 2, characterized in that: the central angle corresponding to the arc-shaped bottom plate (3) is 100-140°. 7.根据权利要求1或2所述的手术缝线固定器,其特征在于:所说的弧形底板(3)所对应的圆心角为120°。7. The surgical suture holder according to claim 1 or 2, characterized in that: the central angle corresponding to the arc-shaped bottom plate (3) is 120°. 8.根据权利要求1或2所述的手术缝线固定器,其特征在于:所说的弧形底板(3)采用PVC材料制作而成。8. The surgical suture holder according to claim 1 or 2, characterized in that: said arc-shaped bottom plate (3) is made of PVC material.
CNU2005200965133U 2005-05-26 2005-05-26 Operation suture fixer Expired - Fee Related CN2801088Y (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102614001A (en) * 2012-04-27 2012-08-01 陈文胜 Thread managing apparatus for operation
TWI481380B (en) * 2011-12-15 2015-04-21 Pergolas Medical Technology Minimally invasive tendon suturing surgical kit
CN108135606A (en) * 2015-10-15 2018-06-08 伊西康有限责任公司 Surgical stapler end effector with knife position indicator
CN109498084A (en) * 2018-12-21 2019-03-22 西安交通大学医学院第附属医院 A kind of magnetic that realizing single pipeline construction is pulled strings operating system
CN110585563A (en) * 2019-09-29 2019-12-20 山东大学齐鲁医院(青岛) Drainage tube fixing and drainage tube opening closing device
CN114631861A (en) * 2022-02-15 2022-06-17 范宁 Pipeline anastomosis wire lifting device for surgical operation

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI481380B (en) * 2011-12-15 2015-04-21 Pergolas Medical Technology Minimally invasive tendon suturing surgical kit
CN102614001A (en) * 2012-04-27 2012-08-01 陈文胜 Thread managing apparatus for operation
CN108135606A (en) * 2015-10-15 2018-06-08 伊西康有限责任公司 Surgical stapler end effector with knife position indicator
CN108135606B (en) * 2015-10-15 2021-08-17 伊西康有限责任公司 Surgical stapler end effector with knife position indicator
CN109498084A (en) * 2018-12-21 2019-03-22 西安交通大学医学院第附属医院 A kind of magnetic that realizing single pipeline construction is pulled strings operating system
CN109498084B (en) * 2018-12-21 2024-05-17 崇好科技有限公司 A magnetic wire-pulling operating system for single-person pipeline reconstruction
CN110585563A (en) * 2019-09-29 2019-12-20 山东大学齐鲁医院(青岛) Drainage tube fixing and drainage tube opening closing device
CN110585563B (en) * 2019-09-29 2022-02-08 山东大学齐鲁医院(青岛) Drainage tube fixing and drainage tube opening closing device
CN114631861A (en) * 2022-02-15 2022-06-17 范宁 Pipeline anastomosis wire lifting device for surgical operation

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